DR. JASON EVERETT KOOCH (D.O.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1902804347
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,308 PHYSICAL MEDICINE AND REHABILITATION in NY
Provider Addresses for DR. JASON EVERETT KOOCH (D.O.)
115 EILEEN WAY
SYOSSET, NY 117915323
Phone: (516) 795-3033
Fax: (516) 795-3036
Type: Mailing
Coordinated Health, 2775, Schoenersville Road, Westgate Hills, Bethlehem, Northampton County, Pennsylvania, 18017, United States
BETHLEHEM, PA 180177307
Phone: (610) 861-8080
Fax: (610) 807-0366
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $311.
Total Amount is formed as General ($311) + Research ($0) + Ownership ($0) = $311.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Medtronic, Inc. ($241).
Total Amount
$311
General + Research + Ownership
Payments
6
Total payment records
General Amount
$311
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $241 |
| DJO, LLC | $44 |
| Electronic Waveform Lab, Inc. | $27 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-08
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230622001783 | I | Physical Medicine And Rehabilitation | NJ | TBD |
| I20231208002845 | I | Physical Medicine And Rehabilitation | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 44 | 22 | $0 |
| 95911 | Nerve conduction, 9-10 studies | 23 | 22 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 11791)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | NJ | |
| Occupational Therapist In Private Practice | NJ | |
| C H I R O P R A C T I C | NJ | |
| Physical Therapist In Private Practice | NJ |
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